INTERNATIONAL EYECARE CENTER INC (NPI# 1386825610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386825610 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL EYECARE CENTER INC |
| Other Organization Name | MALBAR VISION |
| Practice Address |
2545 S 132nd St Omaha NE 68144-2532 |
| Mailing Address |
409 N 78th St Omaha NE 68114-3638 |
| Practice Telephone | 4023301060 |
| Practice Fax Number | 4023306134 |
| Mailing Telephone | 4023934500 |
| Mailing Fax Number | 4023937457 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CATHY LEE SHORT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 470486594 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47048659406 | 05 |
| Other Name | Type Code |
|---|---|
| Malbar Vision | Doing Business As Name - Organization |
| Malbar Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831368133 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 16016 Evans Street, Suite 101, Omaha, NE 68116 | 2008-02-21 |
| 1891345989 | International Eyecare Center Inc | Optometrist | 102 N 1st Ave, Winterset, IA 50273-1551 | 2019-09-19 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1043558299 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 125 N 13th St, Centerville, IA 52544-1705 | 2013-01-23 |
| 1437401460 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 580 S Roosevelt Ave, Burlington, IA 52601-1666 | 2012-10-15 |
| 1609152966 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 105 W Main St, Mt Sterling, IL 62353-1223 | 2011-10-31 |
| 1649451980 | International Eyecare Center Inc | Optometrist | 10114 Maple St, Omaha, NE 68134-5555 | 2007-11-15 |
| Street Address |
2545 S 132ND ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402214 | Larry D. Malashock | Optometrist | 2545 S 132nd St, Omaha, NE 68144-2532 | 2005-07-28 |
| 1821659319 | Valerie A Leff | Optometrist | 2545 S 132nd St, Omaha, NE 68144-2532 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462763 | Thundercloud Optical, LLC | Eyewear Supplier (Equipment, not the service) | 8838 Washington Cir, Omaha, NE 68127-4011 | 2019-08-16 |
| 1659937027 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2802 S 143rd Plz, Omaha, NE 68144-5611 | 2019-05-11 |
| 1578099024 | Walman Optical Company | Eyewear Supplier (Equipment, not the service) | 12240 Emmet St, Omaha, NE 68164-4265 | 2017-05-03 |
| 1477890937 | Arkfeld, Parson, Goldstein, PC | Eyewear Supplier (Equipment, not the service) | 450 Regency Pkwy, Suite 110, Omaha, NE 68114-3764 | 2013-01-03 |
| 1184941023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10000 California St Ste 269, Omaha, NE 68114-2355 | 2010-05-03 |
| 1417105701 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 1606 South 72nd Street, Omaha, NE 68124 | 2008-08-29 |
| 1831368133 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 16016 Evans Street, Suite 101, Omaha, NE 68116 | 2008-02-21 |
| 1043497340 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12500 K Plaza, Omaha, NE 68137-2207 | 2008-01-29 |
| 1922281427 | Eye Essentials, Inc. | Eyewear Supplier (Equipment, not the service) | 8111 Dodge St Ste 140, Omaha, NE 68114-4115 | 2007-12-07 |
| 1235326802 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 16959 Evans Plaza, Omaha, NE 68116-8116 | 2007-09-27 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.